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Kinder- und Jugendrheumatologie: Ein Feld im Umbruch

Kinder- und Jugendrheumatologie: Ein Feld im Umbruch

Die Erforschung rheumatischer Erkrankungen bei Kindern und Jugendlichen erlebte im vergangenen Jahrzehnt einen enormen Wissenszuwachs. Durch internationale Zusammenarbeit und neue Technologien konnte ein neues Krankheitsverständnis gewonnen werden. (CliniCum 05/2017)

Primäre Immundefekte – Diagnose und Therapie

Primäre Immundefekte – Diagnose und Therapie

Konkrete Warnhinweise legen den Verdacht auf einen Immundefekt nahe. Zusammen mit pathologischen Ergebnissen der orientierenden Diagnostik implizieren sie die weitere Abklärung an einer immunologischen Spezialambulanz. (CliniCum 5/2017)

Früherkennung ist essenziell

Früherkennung ist essenziell

Der Großteil der primären Immundefekte manifestiert sich im frühen Kindesalter, manche jedoch erst im Erwachsenenalter. Früherkennung und fachlich kompetente Betreuung verbessern Überlebensrate und Lebensqualität. (CliniCum 4/17)

Clinical Interventions to Promote Breastfeeding by Latinas: A Meta-analysis.

Clinical Interventions to Promote Breastfeeding by Latinas: A Meta-analysis.

<h3>Abstract</h3><div><h4>CONTEXT: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”CONTEXT”>Breastfeeding duration and exclusivity among Latinas fall below recommended levels, indicating a need for targeted interventions. The effectiveness of clinical breastfeeding interventions for Latinas remains unclear.</abstracttext></p><h4>OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVE”>To systematically review the documented effectiveness of clinical breastfeeding interventions on any and exclusive / Weiterlesen →

Nonmedical Use of Prescription Drugs and Sexual Risk Behaviors.

Nonmedical Use of Prescription Drugs and Sexual Risk Behaviors.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Substance use is associated with sexual risk behaviors among youth, but little is known about whether nonmedical prescription drug use, an increasingly common behavior, is associated with sexual risk behaviors.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>Data from the 2011 and 2013 national Youth Risk Behavior / Weiterlesen →

Outcomes of Neonatal Bulbar Weakness.

Outcomes of Neonatal Bulbar Weakness.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVE”>Neonatal bulbar weakness (BW) has various etiologies and a broad prognostic range. We aimed to report outcomes in a large series of children with neonatal BW and explore the association of orofacial electrodiagnostic data with outcome.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” / Weiterlesen →

Birth Prevalence of Cerebral Palsy: A Population-Based Study.

Birth Prevalence of Cerebral Palsy: A Population-Based Study.

<h3>Abstract</h3><div><h4>OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVE”>Population-based data in the United States on trends in cerebral palsy (CP) birth prevalence are limited. The objective of this study was to examine trends in the birth prevalence of congenital spastic CP by birth weight, gestational age, and race/ethnicity in a / Weiterlesen →

Apnea of Prematurity.

Apnea of Prematurity.

<h3>Abstract</h3><div><p><abstracttext>Apnea of prematurity is one of the most common diagnoses in the NICU. Despite the frequency of apnea of prematurity, it is unknown whether recurrent apnea, bradycardia, and hypoxemia in preterm infants are harmful. Research into the development of respiratory control in immature animals and / Weiterlesen →

Oral Health Prevention and Toddler Well-Child Care: Routine Integration in a Safety Net System.

Oral Health Prevention and Toddler Well-Child Care: Routine Integration in a Safety Net System.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVE”>Applying topical fluoride varnish (FV) to young children’s teeth is an effective therapeutic strategy for preventing early childhood caries (ECC). In 2008, the pediatricians at Contra Costa Regional Medical Center and Health Centers became concerned that our low-income / Weiterlesen →

Locations of Physical Activity as Assessed by GPS in Young Adolescents.

Locations of Physical Activity as Assessed by GPS in Young Adolescents.

<h3>Abstract</h3><div><h4>OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVES”>To compare adolescents’ physical activity at home, near home, at school, near school, and at other locations.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>Adolescents (N = 549) were ages 12 to 16 years (49.9% girls, 31.3% nonwhite or Hispanic) from 447 census block groups in 2 / Weiterlesen →

Recurrent Urinary Tract Infections in Children With Bladder and Bowel Dysfunction.

Recurrent Urinary Tract Infections in Children With Bladder and Bowel Dysfunction.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Little generalizable information is available on the outcomes of children diagnosed with bladder and bowel dysfunction (BBD) after a urinary tract infection (UTI). Our objectives were to describe the clinical characteristics of children with BBD and to examine the effects of BBD / Weiterlesen →

Changing Trends in Asthma Prevalence Among Children.

Changing Trends in Asthma Prevalence Among Children.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Childhood asthma prevalence doubled from 1980 to 1995 and then increased more slowly from 2001 to 2010. During this second period, racial disparities increased. More recent trends remain to be described.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>We analyzed current asthma prevalence using 2001-2013 National Health / Weiterlesen →

Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome.

Early Volume Expansion and Outcomes of Hemolytic Uremic Syndrome.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Hemolytic uremic syndrome associated with Shiga toxin-producing Escherichia coli (STEC-HUS) is a severe acute illness without specific treatment except supportive care; fluid management is concentrated on preventing fluid overload for patients, who are often oligoanuric. Hemoconcentration at onset is associated with more / Weiterlesen →

Cigarette Tax Increase and Infant Mortality.

Cigarette Tax Increase and Infant Mortality.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVE”>Maternal smoking increases the risk for preterm birth, low birth weight, and sudden infant death syndrome, which are all causes of infant mortality. Our objective was to evaluate if changes in cigarette taxes and prices over time in / Weiterlesen →

Overall Postneonatal Mortality and Rates of SIDS.

Overall Postneonatal Mortality and Rates of SIDS.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Reductions in sudden infant death syndrome (SIDS) are commonly attributed to modifications in infant sleep environments. Approaches to diagnosis in sudden infant death, death scene investigations, the prevalence of intrinsic risk factors for SIDS, and the potential influence of treatment-related factors on / Weiterlesen →

A Multicenter Collaborative to Reduce Unnecessary Care in Inpatient Bronchiolitis.

A Multicenter Collaborative to Reduce Unnecessary Care in Inpatient Bronchiolitis.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVE”>Evidence-based Guidelines for acute viral bronchiolitis recommend primarily supportive care, but unnecessary care remains well documented. Published quality improvement work has been accomplished in children’s hospitals, but little broad dissemination has been reported outside of those settings. We / Weiterlesen →

A Low-Literacy Asthma Action Plan to Improve Provider Asthma Counseling: A Randomized Study.

A Low-Literacy Asthma Action Plan to Improve Provider Asthma Counseling: A Randomized Study.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVES”>The use of written asthma action plans (WAAPs) has been associated with reduced asthma-related morbidity, but there are concerns about their complexity. We developed a health literacy-informed, pictogram- and photograph-based WAAP and examined whether providers who used it, / Weiterlesen →

Rescue Medicine for Epilepsy in Education Settings.

Rescue Medicine for Epilepsy in Education Settings.

<h3>Abstract</h3><div><p><abstracttext>Children and adolescents with epilepsy may experience prolonged seizures in school-associated settings (eg, during transportation, in the classroom, or during sports activities). Prolonged seizures may evolve into status epilepticus. Administering a seizure rescue medication can abort the seizure and may obviate the need for emergency / Weiterlesen →

Primary Care Physician Follow-up of Distal Radius Buckle Fractures.

Primary Care Physician Follow-up of Distal Radius Buckle Fractures.

<h3>Abstract</h3><div><h4>OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVES”>Our main objective was to determine the proportion of children referred to a primary care provider (PCP) for follow-up of a distal radius buckle fracture who subsequently did not deviate from this reassessment strategy.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>This prospective cohort study was conducted / Weiterlesen →

SLUG Bug: Quality Improvement With Orchestrated Testing Leads to NICU CLABSI Reduction.

SLUG Bug: Quality Improvement With Orchestrated Testing Leads to NICU CLABSI Reduction.

<h3>Abstract</h3><div><h4>OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVE”>Reduce central line-associated bloodstream infection (CLABSI) rates 15% over 12 months in children’s hospital NICUs. Use orchestrated testing as an approach to identify important CLABSI prevention practices.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>Literature review, expert opinion, and benchmarking were used to develop clinical practice recommendations / Weiterlesen →

Outbreaks of Salmonellosis From Small Turtles.

Outbreaks of Salmonellosis From Small Turtles.

<h3>Abstract</h3><div><h4>OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVE”>Turtle-associated salmonellosis (TAS), especially in children, is a reemerging public health issue. In 1975, small pet turtles (shell length &lt;4 inches) sales were banned by federal law; reductions in pediatric TAS followed. Since 2006, the number of multistate TAS outbreaks has increased. / Weiterlesen →

Noninvasive Respiratory Support.

Noninvasive Respiratory Support.

<h3>Abstract</h3><div><p><abstracttext>Mechanical ventilation is associated with increased survival of preterm infants but is also associated with an increased incidence of chronic lung disease (bronchopulmonary dysplasia) in survivors. Nasal continuous positive airway pressure (nCPAP) is a form of noninvasive ventilation that reduces the need for mechanical ventilation / Weiterlesen →

Stimulant Medication and Psychotic Symptoms in Offspring of Parents With Mental Illness.

Stimulant Medication and Psychotic Symptoms in Offspring of Parents With Mental Illness.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Stimulants, such as methylphenidate, are among the most commonly used medications in children and adolescents. Psychotic symptoms have been reported as rare adverse reactions to stimulants but have not been systematically inquired about in most previous studies. Family history of mental illness / Weiterlesen →

Allergic Diseases and Internalizing Behaviors in Early Childhood.

Allergic Diseases and Internalizing Behaviors in Early Childhood.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVES”>The relationship between allergic diseases and internalizing disorders has not been well characterized with regard to multiple allergic diseases or longitudinal study. The objective of this study was to examine the association between multiple allergic diseases in early / Weiterlesen →

Immigrant Families, Children With Special Health Care Needs, and the Medical Home.

Immigrant Families, Children With Special Health Care Needs, and the Medical Home.

<h3>Abstract</h3><div><h4>OBJECTIVE: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”OBJECTIVE”>Immigrant children in the United States historically experience lower-quality health care. Such disparities areconcerning for immigrant children with special health care needs (CSHCNs). Our study assesses the medical home presence for CSHCN by immigrant family type and evaluates which medical home components / Weiterlesen →

Cheerleading Injuries in United States High Schools.

Cheerleading Injuries in United States High Schools.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVES”>Approximately 400 000 students participate in US high school cheerleading annually, including 123,386 involved in competitive spirit squads. The degree of athleticism and the difficulty of cheerleading skills have increased in recent decades, renewing safety concerns. This study describes / Weiterlesen →

A Comparison of Strategies for Retinopathy of Prematurity Detection.

A Comparison of Strategies for Retinopathy of Prematurity Detection.

<h3>Abstract</h3><div><h4>BACKGROUND AND OBJECTIVES: </h4><p><abstracttext nlmcategory=”OBJECTIVE” label=”BACKGROUND AND OBJECTIVES”>Delayed detection of type 1 retinopathy of prematurity (ROP) can lead to permanent visual impairment. Providing ROP examinations is challenging because of the limited ophthalmology workforce. This study compares digital imaging-based ROP detection strategies versus serial ROP examinations.</abstracttext></p><h4>METHODS: / Weiterlesen →

Population Outcomes of Three Approaches to Detection of Congenital Hearing Loss.

Population Outcomes of Three Approaches to Detection of Congenital Hearing Loss.

<h3>Abstract</h3><div><h4>BACKGROUND: </h4><p><abstracttext nlmcategory=”BACKGROUND” label=”BACKGROUND”>Universal newborn hearing screening was implemented worldwide largely on modeled, not measured, long-term benefits. Comparative quantification of population benefits would justify its high cost.</abstracttext></p><h4>METHODS: </h4><p><abstracttext nlmcategory=”METHODS” label=”METHODS”>Natural experiment comparing 3 population approaches to detecting bilateral congenital hearing loss (&gt;25 dB, better ear) / Weiterlesen →

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